4 results match your criteria: "Saint Vincent Private Hospital[Affiliation]"

Purpose: In the case of reverse shoulder arthroplasty (RSA) for proximal humeral fractures (PHFs) with tuberosity reconstruction, it is unclear whether the supraspinatus tendon continues to play a role. The aim of this study was to evaluate the clinical and radiological outcomes of RSA for PHFs in a large cohort of elderly patients and compare the results in the case of supraspinatus excision or preservation.

Methods: In this retrospective multicentre study, 150 patients (mean age 77 years, 93% female) were reviewed and radiographed with a minimum follow-up of 24 months.

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Article Synopsis
  • The study evaluated the outcomes of reverse shoulder arthroplasty in 420 elderly patients with proximal humeral fractures, focusing on the condition of the greater tuberosity (GT).
  • Patients were grouped based on GT status (anatomic healing, resorption/malunion/nonunion, or excision) and assessed for shoulder function and complications.
  • Results showed that anatomic GT healing resulted in significantly better shoulder function and lower instability rates compared to GT resorption or excision, highlighting the importance of preserving GT for better post-surgery outcomes.
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Article Synopsis
  • Reverse shoulder arthroplasty is commonly used for complex shoulder fractures, but removing tuberosities leads to decreased rotation and lower patient satisfaction.
  • A study reviewed 41 elderly patients, comparing outcomes between those with repaired tuberosities and those with complete excision.
  • Results showed that repairing tuberosities significantly improves shoulder motion and function, particularly in external rotation, indicating that anatomical healing is crucial for optimal outcomes.
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Introduction: The present study consisted in a clinical follow-up of patients with distal rupture of the biceps brachii tendon managed by suture anchor reinsertion to the radial tuberosity. Tendon apposition on the cortical bone is the least resistant reinsertion technique according to biomechanical studies. A parallel radiological (X-ray and MRI) study was therefore performed to assess the exact quality of tendon healing and its correlation to clinical results.

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